Table 4.
Analyses of internalized HIV-related stigma, HIV-related maladaptive coping, HIV-related adaptive coping as mediators of the relationship between experienced HIV-related stigma and psychological distress (n = 145).
| Bootstrap results for mediation effects (5,000 samples) | |||
|---|---|---|---|
| Primary Model1- Psychological distress composite as outcome | Mediated effect (A × B) | Lower 95%CI | Upper 95%CI |
| Internalized HIV-related stigma @ 24 weeks | .01 | −.005 | .03 |
| HIV-related maladaptive coping @ 36 weeks | .02 | .006 | .03 |
| HIV-related adaptive coping @ 36 weeks | .001 | −.003 | .006 |
| Total Mediated Effect | .03 | .01 | .05 |
| Sensitivity Analyses – HIV-related distress as the only outcome | |||
| Internalized HIV-related stigma @ 24 weeks | .17 | −.07 | .43 |
| HIV-related maladaptive coping @ 36 weeks | .01 | .08 | .40 |
| HIV-related adaptive coping @ 36 weeks | .21 | −.03 | .43 |
| Total Mediated Effect | .38 | .12 | .70 |
| Sensitivity Analyses – Each mediator included separately | |||
| Internalized HIV-related stigma @ 24 weeks – only | .001 | −.003 | .006 |
| HIV-related maladaptive coping @ 36 weeks – only | .07 | .002 | .01 |
| HIV-related adaptive coping @ 36 weeks - only | −.003 | −.004 | .001 |
| Sensitivity Analyses – Depressive symptoms as the only outcome | |||
| Internalized HIV-related stigma @ 24 weeks | .07 | −.04 | .17 |
| HIV-related maladaptive coping @ 36 weeks | .09 | .03 | .18 |
| HIV-related adaptive coping @ 36 weeks | .004 | −.02 | .04 |
| Total Mediated Effect | .16 | .04 | .29 |
| Sensitivity Analyses – All demographic, study/clinical, and psychosocial data at randomization covariates included | |||
| Internalized HIV-related stigma @ 24 weeks | .01 | −.003 | .03 |
| HIV-related maladaptive coping @ 36 weeks | .02 | .005 | .03 |
| HIV-related adaptive coping @ 36 weeks | .01 | −.003 | .01 |
| Total Mediated Effect | .03 | .01 | .05 |
| Sensitivity Analyses – Non-imputed data only (n = 138) | |||
| Internalized HIV-related stigma @ 24 weeks | .01 | −.01 | .03 |
| HIV-related maladaptive coping @ 36 weeks | .02 | .01 | .03 |
| HIV-related adaptive coping @ 36 weeks | .0002 | −.004 | .005 |
| Total Mediated Effect | .03 | .001 | .05 |
1
Covariates included: age, type of infection, diagnosis in relation to study, HIV-related maladaptive coping at randomization, HIV-related adaptive coping at randomization, and HIV-related distress at randomization. Significant results (p <.05) are marked in bold.